Organization Active NPI

Wulf Clinic Healthcare PA

  • Durable Medical Equipment & Medical Supplies
  • Rogers, AR
National Provider Identifier
1851619357
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WULF CLINIC HEALTHCARE PA
Practice address
593 Horsebarn Rd
Ste. 101
Rogers, AR 72758-8797
Phone
(479) 271-9191
Fax
(479) 271-9196
NPI assigned
May 7, 2010
Last updated
Feb 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Todd M. Wulf, DCNPI 1770514630
Title
President
Phone
(479) 271-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Nurse Practitioner 363L00000X AR
Chiropractor 111N00000X AR
Physical Therapist 225100000X AR

Addresses

Primary practice location

593 Horsebarn Rd
Ste. 101
Rogers, AR 72758-8797

Mailing address

593 Horsebarn Rd.
Ste. 101
Rogers, AR 72758-8797
Phone (479) 271-9191

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1851619357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 HORSEBARN RD.",
            "address_2": "STE. 101",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588797",
            "telephone_number": "479-271-9191",
            "fax_number": "479-271-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 HORSEBARN RD",
            "address_2": "STE. 101",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588797",
            "telephone_number": "479-271-9191",
            "fax_number": "479-271-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WULF CLINIC HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "WULF",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-271-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.